CATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health

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dc.creatorEozenou, Patrick Hoang-Vu
dc.creatorWagstaff, Adam
dc.date2014-05-15T16:36:44Z
dc.date2014-05-15T16:36:44Z
dc.date2014-05
dc.date.accessioned2026-07-01T00:55:19Z
dc.descriptionUp to now catastrophic and impoverishing payments have been seen as two alternative approaches to measuring financial protection in health. Building on the previous literature, the authors propose a unified methodology in which impoverishing and catastrophic payments are mutually exclusive outcomes. They achieve this by expressing out-of-pocket payments as a ratio of 'discretionary' consumption, defined as the amount by which total consumption (gross of out-of-pocket payments) exceeds the poverty line. This allows the authors to identify both households who are impoverished by out-of-pocket payments (their ratio exceeds one) and households who are pushed even further into poverty by out-of-pocket payments (their ratio is negative); the authors call such payments 'immiserizing'. Households experiencing 'catastrophic' payments are a subset of those who incur out-of-pocket payments but who are neither impoverished nor immiserized by them. Two alternative definitions of catastrophic payments are offered: those that absorb more than a pre-specified fraction of discretionary consumption; and those that leave a household's nonmedical consumption (total consumption net of out-of-pocket spending) below a pre-specified multiple of the poverty line. The authors also offer a simple financial protection index that reflects the percentages of households incurring immiserizing, impoverishing, catastrophic, non-catastrophic, and zero out-of-pocket payments. They illustrate their unified approach with data from the World Health Survey, using international poverty lines and a catastrophic payment threshold of 40 percent.
dc.formatapplication/pdf
dc.formattext/plain
dc.identifierhttp://documents.worldbank.org/curated/en/2014/05/19458222/cata-meets-impov-unified-approach-measuring-financial-protection-health
dc.identifierhttps://hdl.handle.net/10986/18353
dc.identifierhttps://doi.org/10.1596/1813-9450-6861
dc.identifier.urihttp://hdl.handle.net/123456789/412977
dc.languageEnglish
dc.languageen_US
dc.publisherWorld Bank, Washington, DC
dc.relationPolicy Research Working Paper;No. 6861
dc.rightsCC BY 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABILITY TO PAY
dc.subjectAGRICULTURAL GROWTH
dc.subjectCALORIE INTAKE
dc.subjectCALORIES PER PERSON
dc.subjectCONSUMER PRICE INDEX
dc.subjectCONSUMPTION AGGREGATE
dc.subjectCONSUMPTION DATA
dc.subjectCONSUMPTION POVERTY
dc.subjectDEVELOPMENT POLICY
dc.subjectEXTREME POVERTY
dc.subjectFAMILIES
dc.subjectFAMILY INCOME
dc.subjectFOOD EXPENDITURE
dc.subjectFOOD INTAKE
dc.subjectFOOD POLICY
dc.subjectFOOD SHARE
dc.subjectHEALTH CARE
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SYSTEM
dc.subjectHOUSEHOLD CONSUMPTION
dc.subjectHOUSEHOLD EXPENDITURE
dc.subjectHOUSEHOLD MEMBERS
dc.subjectHOUSEHOLD SPENDING
dc.subjectHOUSEHOLD SURVEY
dc.subjectHOUSEHOLD WELFARE
dc.subjectHOUSING
dc.subjectHUMAN DEVELOPMENT
dc.subjectINCOME DISTRIBUTION
dc.subjectINPATIENT CARE
dc.subjectINSURANCE
dc.subjectLIVING STANDARDS
dc.subjectMEDICAL SERVICES
dc.subjectNUTRITION
dc.subjectOUTPATIENT CARE
dc.subjectPATIENTS
dc.subjectPOOR COUNTRIES
dc.subjectPOOR HOUSEHOLDS
dc.subjectPOVERTY ESTIMATES
dc.subjectPOVERTY GAP
dc.subjectPOVERTY LINE
dc.subjectPOVERTY LINES
dc.subjectPURCHASING POWER
dc.subjectPURCHASING POWER PARITIES
dc.subjectSUBSISTENCE
dc.subjectTOTAL CONSUMPTION
dc.subjectUSE VALUE
dc.subjectVALUE JUDGMENTS
dc.titleCATA Meets IMPOV : A Unified Approach to Measuring Financial Protection in Health

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